Organization
ARIZONA TREATMENT INSTITUTE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD T. NICHOLS MS, LISAC (CEO)
(520) 836-9788
Entity
Organization
Contact information
Practice address
1927 N TREKELL RD, SUITE D, CASA GRANDE, AZ 85222-1762
(520) 836-9788
(520) 876-4603
Mailing address
1927 N TREKELL RD, SUITE D, CASA GRANDE, AZ 85222-1762
(520) 836-9788
(520) 876-4603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC 11603
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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